An Adrenal Crisis: What You Need to Know to Stay Safe

Dot's emergency kit.

Anyone who's been around Dot for any time, namely caretakers and close friends and family, have been taught how to see the signs when she goes into adrenal crisis. Knowing these signs and symptoms and being familiar with them is literally the main difference between helping Dot live through a medical crisis, or not. Knowing what you're looking for and how to respond medically, you'll always be successful at being on the frontline of her health and wellbeing. 

An adrenal crisis, also known as an adrenal insufficiency or Addisonian crisis, is a life-threatening condition that occurs when the adrenal glands, which are small glands located on top of the kidneys, do not produce enough hormones. The adrenal glands produce hormones such as cortisol and aldosterone, which are essential for maintaining the body's normal functions, such as regulating blood pressure and glucose levels, and responding to stress.

Signs and symptoms of an adrenal crisis may include:

1. Weakness and fatigue: The body may feel weak and tired, even after a good night's sleep. This is due to the lack of cortisol, which is necessary for energy production.
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3. Nausea and vomiting: The body may experience nausea and vomiting due to the low blood pressure caused by the lack of aldosterone, which helps regulate electrolyte balance and blood pressure.
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5. Low blood pressure: Blood pressure may drop significantly, leading to dizziness and fainting.
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7. Abdominal pain: The body may experience abdominal pain due to the low blood sugar caused by the lack of cortisol, which helps regulate glucose levels.
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9. Dehydration: The body may become dehydrated due to the vomiting and diarrhea that may occur as a result of an adrenal crisis.
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11. Confusion and mental changes: The body may experience confusion, difficulty concentrating, and other mental changes due to the low blood pressure and low blood sugar.
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13. Skin changes: The skin may become pale, dry, and thin, and may develop bruising or discoloration due to the lack of hormones produced by the adrenal glands.
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15. If you suspect that you or someone you know is experiencing an adrenal crisis, it is important to seek medical attention immediately. An adrenal crisis can be treated with hormone replacement therapy and other medications, but it can be life-threatening if not treated promptly.

It is important to note that an adrenal crisis is a rare condition that typically occurs in people with adrenal insufficiency, a condition in which the adrenal glands do not produce enough hormones. Adrenal insufficiency can be caused by several factors, including autoimmune diseases, infections, and certain medications. If you have been diagnosed with adrenal insufficiency, it is important to follow your treatment plan and to carry a medical alert card or bracelet indicating your condition.